ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Staple Line Treatment and Bleeding After Laparoscopic Sleeve Gastrectomy.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Does the use of staple line reinforcement during sleeve gastrectomy and Roux-en-Y gastric bypass affect ClinicalOutcomes?: Systematic review and Meta-analysis.Langenbeck's archives of surgery · 2025Pooled it
- Modified sleeve gastrectomy technique with Hemoben hemostatic powder: prevention of early postoperative bleeding.Journal of surgical case reports · 2026Article
- Retrospective analysis of the BariClip procedure: Clinical outcomes and complication profile.PloS one · 2025Observational
- RESULTS OF MECHANIC VERSUS MOTORIZED STAPLER USED IN GASTRIC SURGERY: PROSPECTIVE STUDY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024Article
- Evaluation of automated staple sizes on gastric layer incorporation and intraluminal pressure for partial gastrectomy closure in an ex vivo canine model.Veterinary medicine and science · 2023Article
- Short-Term Clinical Outcomes of Robotic Sleeve Gastrectomy in Super- and Super-Superobese Patients With and Without Tissue Reinforcement. A Prospective Cohort Matched Study.Obesity surgery · 2022Article
- To oversew or not to oversew in robotic sleeve gastrectomy: a case against oversewing the staple line.Langenbeck's archives of surgery · 2021Article
- Complications associated with laparoscopic sleeve gastrectomy - a review.Przeglad gastroenterologiczny · 2021Review
- Comparative Effectiveness Assessment of Two Powered Surgical Stapling Platforms in Laparoscopic Sleeve Gastrectomy: A Retrospective Matched Study.Medical devices (Auckland, N.Z.) · 2020Article
- Long-term outcomes of laparoscopic sleeve gastrectomy from the Indian subcontinent.Obesity surgery · 2019Article
- Stapler Malfunctions in Bariatric Surgery: An Analysis of the MAUDE Database.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesStaple line treatment during laparoscopic sleeve gastrectomy (LSG) remains a controversial issue among bariatric surgeons. The objective of this study was to compare rates of postoperative bleeding (POB) among various methods of staple line reinforcement.
methodsThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program 2015 dataset was queried for patients undergoing an LSG. Patients were stratified by staple line treatment groups-no treatment (NT), suture oversewing (OVERSEW), buttressing by a commercial product (BUTTRESS), and both buttress and oversew (COMBINATION). The primary outcome was POB. Multivariable logistic regression was used to compare POB rates among the treatment groups.
resultsIn the 98,142 LSG patients meeting selection criteria, 623 (0.63%) patients had POB and 181 (0.18%) required reoperation. POB occurred in 0.80% for the NT group, 0.68% for the OVERSEW group, 0.57% for the BUTTRESS group, and 0.55% for the COMBINATION group. On multivariable analyses, all treatment groups were less likely to have POB compared with the NT group-OVERSEW (odds ratio [OR] 0.73, 95% confidence interval [CI] 0.54-0.98), BUTTRESS (OR 0.70, 95% CI 0.57-0.84), and COMBINATION (OR 0.66, 95% CI 0.50-0.89) (all
conclusionsRelative to an NT staple line, the use of OVERSEW or BUTTRESS can decrease the rates of POB by up to 30%. The use of these techniques should be strongly considered by the bariatric surgeon.
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